Individual
JULIENNE TANKOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
6103 RAY CT, HYATTSVILLE, MD 20783-5026
(202) 545-0935
Mailing address
6103 RAY CT, HYATTSVILLE, MD 20783-5026
(202) 545-0935
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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